Ingabe umfutho wegazi wakho uyakhuphuka uma ubona udokotela? Lokhu kubizwa ngokuthi "i-White Coat Syndrome"!

Wake waya kudokotela wahlolwa umfutho wegazi wakho wathola ukuthi uphakeme kakhulu kunasekhaya? Ngezinye izikhathi ungase ucabange, 'O, nginomfutho wegazi ophezulu?' Kodwa uma ufika ekhaya uphinde uhlole, umfutho wegazi wakho ujwayelekile. Yilokho esizokhuluma ngakho, okubizwa ngokuthi "i-White Coat Syndrome." Namuhla, sizoxoxa ngokuthi kuyini ngempela, ukuthi kungani kwenzeka, ukuthi kuyingozi yini, nokuthi yini esingayenza ngakho.

Iyini i-"White Coat Syndrome"?

Kalula nje, "i-white coat syndrome" yilapho uya khona kudokotela, noma esibhedlela, umfutho wegazi wakho, noma umfutho wegazi, uphakeme kunojwayelekile. Kodwa ngokumangazayo, uma ulinganisa umfutho wegazi wakho ekhaya, ungaphakathi kwemingcele evamile. Umfutho wegazi ojwayelekile umfutho wegazi ophansi kwamamilimitha angu-120 e-mercury (mmHg) kanye nomfutho wegazi ophansi kwamamilimitha angu-80 e-mercury . Cabanga nje, umfutho wegazi wakho ukhuphuka phambi kukadokotela kuphela, kodwa ekhaya kuvamile!

Lokhu kuyinto okufanele uyicabangele, ngoba ucwaningo luthole ukuthi cishe abantu abangu-5% abane-"white coat syndrome" empeleni baba nomfutho wegazi ophakeme, noma umfutho wegazi ophakeme, njalo ngonyaka .

Kubalulekile ukuhlola umfutho wegazi lakho ngokunembile. Lokhu kungenxa yokuthi kunganquma ukuthi udinga imithi noma ukuthi kufanele uthathe imithi engakanani. Cabanga uma umfutho wegazi wakho ukhuphuke kuphela ehhovisi likadokotela, ngakho-ke unikezwe umuthi obungawudingi ngempela, noma umthamo ophezulu kunalokho obekufanele uwuthathe. Futhi, uma usuvele uthatha umuthi womfutho wegazi lakho, udokotela wakho angase acabange ukuthi umuthi wakho awusebenzi, futhi inkinga empeleni "yi-white coat syndrome."

Ingabe lokhu "kubangelwa yi-white coat syndrome" kuyiqiniso? Ingabe kungamanga?

Yebo, lesi yisimo sangempela . Lokhu akuyona nje inganekwane noma inganekwane. Abacwaningi benze izifundo eziningi ngalokhu futhi babhala phansi imiphumela yabo. Ngakho-ke lokhu kuyinto eyamukelwa ngokwesayensi.

Ingabe i-"white coat syndrome" iyingozi?

Lokhu kuyinto okufanele uyicabangele. Kungaba yingozi ngezinye izikhathi. Abantu abane-"white coat syndrome" bangase babe nomfutho wegazi ophakeme kancane kunabantu abangenaso lesi simo. Ikakhulukazi, izifundo zikhombisile ukuthi abantu abangaphezu kweminyaka engama-60 ubudala kanye namaqembu asengozini enkulu (okungukuthi labo abake baba nokuhlaselwa yinhliziyo ngaphambilini, abanesifo sikashukela, noma ezinye izici eziyingozi zesifo senhliziyo) banamathuba aphindwe kabili okuthola isifo senhliziyo ngalesi sifo kunalabo abasemaqenjini asengozini encane.

Nokho, kungenzeka ukuthi le ngozi ekhulayo ayibangelwa "yi-white coat hypertension" kuphela, kodwa ibangelwa yizici eziyingozi okukhulunywe ngazo ekuqaleni. Yingakho kubalulekile ukukhuluma nodokotela ngalokhu.

Ubani onamathuba amaningi okuthola "i-white coat syndrome"?

Nakuba lesi simo singakhula kunoma ubani, abanye abantu banamathuba amaningi okuba naso. Lezi yizi:

• Abantu abangaphezu kweminyaka engama-50 ubudala.
• Abesifazane (abesifazane).
• Abantu abasanda kutholakala benomfutho wegazi ophakeme.
• Abantu abanokukhuluphala ngokweqile.
• Abantu abangasebenzisi imikhiqizo kagwayi (lokhu kungase kumangaze kancane, kodwa izifundo zibonisa lokho).

Kuvame kangakanani "umfutho wegazi ophakeme omhlophe"?

Lesi simo, esibizwa ngokuthi "i-white coat hypertension," sithinta abantu abaphakathi kuka-15% no-30% abanomfutho wegazi ophakeme. Lokho kusho ukuthi cishe oyedwa kwabathathu abanomfutho wegazi ophakeme bangaba naso. Akukhona lokho kuphela, kodwa singakhula nakubantu abangenawo umfutho wegazi ophakeme.

Ziyini izimpawu ze-"white coat syndrome"?

Uma une-"white coat hypertension," ungase uzizwe ukhathazekile futhi ukhathazekile lapho uya kudokotela. Kufana nokwesaba okuncane. Lokhu kwesaba kunganda uma uya egumbini lokuhlolwa, ikakhulukazi lapho kulinganiswa umfutho wegazi lakho. Abanye abantu bangase bajuluke futhi babe nenhliziyo eshaya ngamandla.

I-"white coat syndrome" iwuthinta kanjani umzimba wakho?

Lokhu akukhona nje ukwesaba udokotela. Uma "i-white coat syndrome" iqhubeka isikhathi eside, ingahlotshaniswa nalokhu okulandelayo:

• Imithambo yakho ingase iqine.
• Ukusebenza kwemithambo yegazi kungase kuphazamiseke.
• Ingozi yokufa ehlobene nesifo senhliziyo (ukufa ngenxa yenhliziyo) inganda.
• Ingozi ye-hypertrophy ye-ventricular yesobunxele inganda.
• Ingozi yokuba nesifo sikashukela noma umfutho wegazi ophakeme inganda.

Nokho, lokhu akuyona into okufanele uyithathe kalula. Kubalulekile ukukhumbula ukuthi noma ngabe umfutho wegazi wakho ukhuphuka phambi kukadokotela, kungaba nemiphumela yesikhathi eside emzimbeni wakho.

Kungani kwenzeka lesi "sifo se-white coat syndrome"? Iyini imbangela?

Cabanga nje, uzobona udokotela, bese uzizwa ukhathazekile, unesithakazelo esincane, njengokuthi, 'Umfutho wegazi lami uzoba njani? Kuthiwani uma uphezulu?' Ngaleso sikhathi, umzimba wakho, ngenxa yokukhathazeka ngomphumela, ungasabela ngokuzenzakalelayo . Kufana nokuthi lapho sibona ingozi, umzimba wethu uzilungiselela "ukulwa noma ukubaleka." Ukuya ehhovisi likadokotela, ukungena egumbini lokuhlolwa, futhi ekugcineni ukuhlolwa komfutho wegazi lakho kungabangela lokhu kusabela.

Futhi, umfutho wegazi wethu awuhlali ufana usuku lonke. Kujwayelekile ukuthi ushintshe ngezinto ezifana nalezi:

• Isikhathi sosuku (singahluka phakathi kwasekuseni, ntambama, nasebusuku).
• Ukuthi uphumule noma cha ngaphambi kokulinganisa umfutho wegazi lakho.
• Inani lokungcola komsindo endaweni okuyo.
• Isimo sakho sengqondo (kungakhathaliseki ukuthi ujabule, udabukile, noma wesaba).

Ungayibona kanjani "i-white coat syndrome"?

Udokotela wakho uzokwazi ukukubona lokhu uma umfutho wegazi lakho uphakeme kunojwayelekile (140 mmHg noma ngaphezulu ku-systolic kanye/noma 90 mmHg noma ngaphezulu ku-diastolic) okungenani kathathu ngesikhathi sokuvakasha kwakho. Kodwa-ke, kufanele futhi uhlole umfutho wegazi lakho ngokuqapha umfutho wegazi ohamba amahora angama-24 noma ukuqapha umfutho wegazi ekhaya.

Ngokuvamile, uma umfutho wegazi lakho ungaphansi kuka-135/85 mmHg ngesikhathi sokuqapha amahora angama-24 (ekhaya), kodwa uphakeme kuno-140/90 mmHg lapho udokotela ewuhlola, khona-ke kusolwa ukuthi "i-white coat syndrome".

Ukuqapha Umfutho Wegazi Ohambayo (i-ABPM) ithuluzi elincane oligqoka engalweni noma esihlakaleni sakho amahora angama-24 ngosuku. Lilinganisa futhi lirekhode ngokuzenzakalelayo umfutho wegazi lakho usuku lonke, ngenkathi usebenza futhi ulele. Lena yindlela ongazi ngayo kahle ukuthi umfutho wegazi lakho unjani ekhaya.

Ingabe lesi "sifo soboya obumhlophe" siyaphela?

Ngokuvamile, lesi simo singaqhubeka iminyaka eminingi . Ngisho noma ubona udokotela ofanayo minyaka yonke, kungakhathaliseki ukuthi unobungane futhi ukhululekile kangakanani ngalowo dokotela, lokhu kungenzeka kuqhubeke. Lokhu kusho ukuthi lokhu akukhona nje ukwesaba udokotela , kodwa kuyinto eyinkimbinkimbi kakhulu.

Iphathwa kanjani i-"white coat syndrome"?

Udokotela wakho cishe uzokutshela ukuthi uhlole umfutho wegazi lakho njalo ekhaya. Lokhu kuzokusiza ukuthi unqume ukuthi unesifo somfutho wegazi esiphezulu ngempela. Ungathenga i-automatic blood pressure monitor ukuze uyisebenzise ekhaya. Noma, amanye amakhemisi anemishini elinganisa umfutho wegazi lakho, akunjalo? Ungayisebenzisa futhi.

Ngaphezu kwalokho, udokotela wakho angakutshela ukuthi wenze izinguquko ezithile endleleni yokuphila , njenge:

• Vivinya umzimba kaningi. Okufana nokuhamba okungenani imizuzu engama-30 ngosuku.
• Ukwehlisa isisindo . Kubalulekile ukugcina isisindo esifanele ubude bakho.
• Nciphisa inani likasawoti owudlayo . Nciphisa inani likasawoti owudlayo, njenge-pickle, inhlanzi eyomisiwe, nama-sausage.
• Ukugwema ukusebenzisa imikhiqizo kagwayi .

Kodwa-ke, uma unezinye izici eziyingozi zenhliziyo, njengokukhuluphala ngokweqile nokubhema, udokotela wakho angase akutshele nokuthi uqale ukuthatha imithi yokwehlisa umfutho wegazi, ebizwa ngokuthi "imithi yokwehlisa umfutho wegazi."

Yini engenziwa ukuze kuqedwe, noma kuncishiswe, "i-white coat syndrome"?

Uma ungakwazi, zama ukuhlala uzolile futhi uphumule lapho uya kudokotela. Lokhu kuzokusiza ukuthi umfutho wegazi lakho usondele ezingeni onalo ekhaya. Bheka ukuthi lawa macebiso ayasiza yini:

• Yakha ubuhlobo obuhle nodokotela wakho. Lokhu kuzokusiza uzizwe ukhululekile ukukhuluma naye. Uma ungakhululekile nodokotela wakho wamanje, zama ukuthola omunye udokotela.
• Bhala phansi imibuzo embalwa ofuna ukuyibuza bese uhamba nayo. Ngemuva kwalokho ngeke kudingeke ukhathazeke ngokucabanga ukuthi, "O, ngikhohliwe ukubuza lokho."
• Zinike isikhathi esengeziwe ngaphambi kokuya endaweni yakho yokuqokwa. Paka imoto yakho, hamba ungakhathazeki, futhi uzozizwa ukhululekile.
• Gwema ukubhema, ukuphuza ikhofi, noma ukuzivocavoca isigamu sehora ngaphambi kokuqokwa kwakho. Lokhu kungakhuphula umfutho wegazi okwesikhashana.

Imithi ye-"White Coat Syndrome" kanye nemiphumela yayo emibi

Odokotela bavame ukukunikeza imithi ye-"white coat syndrome" kuphela uma unezinye izici eziyingozi zesifo senhliziyo. Ezimweni eziningi, ukwelashwa kuhilela ukushintsha indlela yokuphila , njengokunciphisa isisindo nokunciphisa usawoti ekudleni kwakho. Kodwa-ke, abantu abasengozini enkulu yesifo senhliziyo kungadingeka bathathe imithi yokwehlisa umfutho wegazi ("imithi yokwehlisa umfutho wegazi").

Njenganoma yimuphi umuthi, imithi yomfutho wegazi ingaba nemiphumela emibi emincane kwabanye abantu. Akuwona wonke umuntu oyitholayo, kodwa abanye abantu bangase babhekane nezinto ezifana nalezi:

• Ukuzizwa unesizungu.
• Ikhanda elibuhlungu.
• Ukuzizwa sengathi isisu sibuhlungu.

Uma lokhu kwenzeka, tshela udokotela wakho. Angase akwazi ukushintsha umuthi noma ukulungisa umthamo.

Unganciphisa kanjani ingozi ye-"white coat syndrome"?

Ngokukhuluma nodokotela wakho nokuchaza ukukhathazeka kwakho , ungakunciphisa kakhulu ukwesaba nokukhathazeka kwakho. Lokhu kunganciphisa nengozi yokuba "ne-white coat hypertension."

Uma ngine-"white coat syndrome", yini okufanele ngiyilindele?

Ucwaningo lubonisa ukuthi abantu abane-"white coat hypertension" basengozini enkulu yokuthola izinkinga zenhliziyo kunalabo abane-blood pressure evamile. Lokhu kusho ukuthi akuyona into ongayinaki nje ehhovisi likadokotela. Kodwa-ke, into ebaluleke kakhulu ukuqapha umfutho wegazi lakho ekhaya nokwenza izinguquko zendlela yokuphila ezinconywa udokotela wakho. Uma kudingeka, kubalulekile futhi ukuthatha imithi yakho oyinikezwe udokotela njengoba nje uyalelwe.

Ngizinakekela kanjani?

• Hlola umfutho wegazi lakho njalo ekhaya. Lokhu kuzokusiza ukuthi ubone ukuthi umfutho wegazi lakho ungaphakathi kwemingcele evamile.
• Uma umfutho wegazi wakho uphakeme njalo ngisho noma uwuhlola ekhaya, qiniseka ukuthi ubona udokotela wakho. Ngaleyo ndlela, ungathola ukuthi umfutho wegazi wakho uphakeme ngempela yini.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma uya kudokotela, ungakhohlwa ukubuza imibuzo efana nale. Ngaleyo ndlela, ungakuqonda kangcono lokhu.

• "Dokotela, kufanele ngihlole kangaki umfutho wegazi lami ekhaya?"
• "Ngingayilinganisa kanjani ngokunembile ingcindezi yami yegazi ekhaya? Ingabe ikhona indlela efanele yokukwenza?"
• "Uma ngiletha umshini wami wokuhlola umfutho wegazi ekhaya, ingabe udokotela angawuhlola ukunemba kwawo?"

Ukubuza imibuzo efana nale kuzokunika umuzwa omuhle wokuthola amandla, futhi kuzosiza udokotela ukuqonda kangcono isimo sakho.

Ngakho-ke, yiziphi izinto okudingeka sizikhumbule kukho konke lokhu? (Umyalezo Wokuya Ekhaya)

Uma udokotela elinganisa umfutho wegazi lakho bese ethi uphakeme, ungase uzizwe ungakhululekile futhi wesaba kancane. Lokho kuvamile. Kodwa-ke, akusho ngaso sonke isikhathi ukuthi umfutho wegazi lakho uphakeme. Mhlawumbe umane ukhathazekile noma wesaba ngoba usehhovisi likadokotela. Lokho kubizwa ngokuthi "i-White Coat Syndrome."

Into ebaluleke kakhulu ukuhlola umfutho wegazi lakho njalo ekhaya. Hlola ekhemisi noma nge-monitor ekhaya. Uma amanani ekhaya ejwayelekile, tshela udokotela wakho. Ngemuva kwalokho angabuyekeza amarekhodi akho. Futhi, uma umfutho wegazi usephezulu uma uwuhlola ekhaya, kufanele nakanjani utshele udokotela wakho . Ngoba kusho ukuthi empeleni ungase ube nomfutho wegazi ophezulu. Okuwukuphela kwendlela yokwazi kahle ukuthi siyini isimo ukuqapha umfutho wegazi lakho njalo bese ukhuluma nodokotela wakho ngakho. Ungakhathazeki, uma ukwazi lokhu futhi ukukuphatha kahle, ungahlala uphilile!

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